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David A. Culp, MD; Abbas Bekhrad, MD; Rubin H. Flocks, MD

JAMA. 1970;213(5):753-758.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In 1964, Graf et al¹ analyzed a series of 50 cases with spina bifida and meningomyelocele and demonstrated that the ultimate prognosis of the patients who survived their early neurological problems depended upon the condition and function of the upper urinary tract and that the morphologic state and functional capacity of the upper urinary tract could be assessed by roentgenographic means. Furthermore, they demonstrated that diversion of urine from the lower urinary tract failed to prevent progressive, silent upper urinary tract changes that eventually lead to renal failure. In spite of the diversion of urine from the lower urinary tract, ureterectasis developed in 73% of the patients in the series, ureteral reflux in 61%, and reduction in renal function in 46%. After reviewing their findings they suggested that supravesical diversion of urine by ileal conduit was an effective corrective measure in selected cases.

As a result of this study, . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Urology, University of Iowa College of Medicine, Iowa City.

Footnotes
Read before the Section on Urology at the 118th annual convention of the American Medical Association, New York, July 14, 1969.

Reprint requests to Department of Urology, University of Iowa College of Medicine, University Hospitals, Iowa City 52240 (Dr. Culp).

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